scholarly journals PATIENT SAFETY AND MEDICATION ERRORS IN THE PROVISION OF HEALTH CARE SERVICES-CHALLENGES FOR CONTEMPORARY PRACTICE

2016 ◽  
Vol 55 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Tatjana Stojković ◽  
◽  
Valentina Marinković ◽  
Dušanka Krajnović ◽  
Ljiljana Tasić ◽  
...  
2010 ◽  
Vol 13 (2) ◽  
pp. 105-111
Author(s):  
Agustin Indracahyani

AbstrakKesalahan medikasi merupakan masalah yang sangat serius di pelayanan kesehatan di seluruh dunia. Masalah tersebut mengakibatkan cedera dan kematian bagi pasien, serta meningkatkan biaya yang harus dikeluarkan oleh rumah sakit. Kesalahan medikasi dapat terjadi di setiap tahapan proses manajemen dan penggunaan medikasi dan berakibat pada keselamatan pasien. Kesalahan medikasi dapat terjadi akibat kondisi laten, kondisi yang menyebabkan kesalahan, dan kegagalan aktif. Perawat sebagai pihak yang paling banyak terlibat dalam proses pemberian medikasi memiliki peran penting dalam mencegah, mengenali, dan mengatasi terjadinya kesalahan untuk meningkatkan keselamatan pemberian medikasi. Upaya meningkatkan keselamatan pemberian medikasi dilakukan melalui pendekatan proses keperawatan sejak pengkajian hingga evaluasi dan dokumentasi. AbstractMedication errors are a very serious problem in health care services around the world. These problems lead to morbidity and mortality for patients, as well as increase the costs to be incurred by the hospital. Medication errors may occur at any stages of medication management and use process and result in patient safety. These may occur due to latent conditions, error producing conditions, and active failures. Nurses who are primarily involved in the process of medication administration have important role in preventing, recognizing, and addressing errors in order to enhance safety medication administration. Efforts to enhance safety medication administration may be done through nursing process approach from assessment to evaluation and documentation.


2019 ◽  
Vol 31 (4) ◽  
pp. 257-262
Author(s):  
Dennis Tsilimingras ◽  
Liying Zhang ◽  
Askar Chukmaitov

Adverse events that occur in urban and rural adults during the posthospitalization period have become a major public health concern. However, postdischarge adverse events for patients receiving home health care have been understudied. The objective of this study was to identify the prevalence and risk factors associated with postdischarge adverse events for patients who received home health care services. We analyzed data from a prospective cohort study that was conducted among patients who were hospitalized in the Tallahassee Memorial Hospital from December 2011 to October 2012. Telephone interviews were conducted by trained nurses who contacted patients within 4 weeks after discharge. Physicians reviewed cases with possible adverse events that were triaged by the nurses. The adverse events that were identified were categorized as preventable, ameliorable, and nonpreventable/nonameliorable. Nearly 39% of 85 patients who received home health care experienced postdischarge adverse events that were predominantly preventable or ameliorable. The associated risk factors were living alone (odds ratio [OR] = 7.860, p = .020), insured by Medicare or Medicaid (OR = 6.402, p = .048), type 2 diabetes mellitus (OR = 6.323, p = .004), pneumonia (OR = 5.504, p = .004), and other infections (OR = 4.618, p = .031). This study was able to identify that nearly one in every two patients who received home health care after hospital discharge experienced an adverse event. Patient safety research needs to focus in the home by developing specific interventions to avert adverse events and improve patient safety during the delivery of home health care services.


2019 ◽  
Vol 6 (2) ◽  
pp. 83-90
Author(s):  
Seyed Jalil Hosseinin Irani ◽  
Leila Riahi ◽  
Ali Komeili ◽  
Reza Masoudi

Background and aims: Patient safety, as one of the main components of the health care quality, implies avoiding any injury and damage to the patient when providing health care services. In other words, patient safety means his or her safety against any adverse and harmful event when receiving health care services. Based on the above-mention explanations, the present study was conducted to determine the patterns of patient safety management. Methods: A systematic review method was used to meet the objectives of the study. In order to access the scientific documentation and evidence related to the subject published during 1998-2018, English keywords including "Patient Safety Model", "Patient Safety", and "Patient Safety of Management" were searched in Medine, PubMed, and Google Scholar databases and Persian versions of these keywords were also looked for in Jihad-e Daneshgahi’s Scientific Information Database (SID) and Iranian Journals database (Magiran). Results: The findings of this study suggested that most of the studies on designing a model for patient safety highlighted important dimensions including guidance and leadership, communication, organizing, information management, control and monitoring, participation and decision-making, as well as planning and coordination. Conclusion: In general, using patterns and frameworks designed for patient safety improves patient safety against uncertain incidents since the human and financial consequences of such incidents impose overwhelming sufferings on patients.


2021 ◽  
pp. 002580242110539
Author(s):  
Kieran M. Kennedy ◽  
Grace J. Payne-James ◽  
J. Jason Payne-James ◽  
Peter G. Green

Awareness of the nature and frequency of complaints against health care professionals working in police custodial health care services could provide opportunities to improve patient safety. To explore this freedom of information requests were sent to police services in England, Wales and Northern Ireland, to professional regulatory bodies and to the Independent Office for Police Conduct. Eighty-seven percent of police services responded but only a minority provided complete responses, with data not being held, or not being held in an easily retrievable format, being provided as reasons. The nature and frequency of complaints were similar to a previous 2017 study, suggesting a failure to learn lessons from the investigation of complaints and implement change in clinical practice. No evidence of an accessible complaints handling and recording procedure was provided across the police services surveyed. Regulatory bodies provided some information on the nature of complaints made against doctors and nurses working in police custodial settings, but that for paramedics was unable to do so. It is recommended that the communication loop between police services, those bodies providing health care and forensic medical services and regulatory bodies needs to be closed. A common reporting system or the application of established complaints handling procedures and reporting structures, which could be achieved by transferring these services to the National Health Service, may enhance patient safety in police custody.


2014 ◽  
Author(s):  
Susana J. Ferradas ◽  
G. Nicole Rider ◽  
Johanna D. Williams ◽  
Brittany J. Dancy ◽  
Lauren R. Mcghee

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